WO2019144071A1

WO2019144071A1 - Medical device delivery system with feedback loop

Info

Publication number: WO2019144071A1
Application number: PCT/US2019/014408
Authority: WO
Inventors: Michael J. Kane; Peter James KEOGH; Kevin Robert Poppe; Daniel J. Foster; Stephen J. BURKE
Original assignee: Boston Scientific Scimed, Inc.
Priority date: 2018-01-19
Filing date: 2019-01-21
Publication date: 2019-07-25
Also published as: US11246625B2; EP3740170A1; JP2021511858A; US20190223909A1; JP7047106B2

Abstract

A drive assembly for use with a delivery catheter for delivering an implantable medical device includes a drive motor configured to be operably coupled to an inner shaft of the delivery catheter such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft and a controller. The controller is configured to receive a position signal from a position sensor indicating a position of the implantable medical device relative to the outer shaft as well as a motor signal indicating a rotational position of an output shaft of the drive motor. The controller is configured to output a control signal instructing operation of the drive motor based upon the indicated rotational position of the output shaft of the drive motor and the indicated position of the implantable medical device relative to the outer shaft.

Description

MEDICAL DEVICE DELIVERY SYSTEM WITH FEEDBACK LOOP

Cross-Reference To Related Applications

[0001] This application claims the benefit of priority under 35 U.S.C. §119 to U.S.

Provisional Application Serial No. 62/619,325, filed January 19, 2018, the entirety of which is incorporated herein by reference.

Technical Field

[0002] The present disclosure pertains to medical devices, and methods for manufacturing medical devices. More particularly, the present disclosure pertains to medical delivery devices for delivering implantable devices and that include a feedback loop pertaining to relative position of the implantable device relative to the delivery device.

Background

[0003] A wide variety of intracorporeal medical devices have been developed for medical use, for example, intravascular use. Some of these devices include guidewires, catheters, and the like. These devices are manufactured by any one of a variety of different manufacturing methods and may be used according to any one of a variety of methods. Of the known medical devices and methods, each has certain advantages and disadvantages. There is an ongoing need to provide alternative medical devices as well as alternative methods for manufacturing and using medical devices.

Brief Summary

[0004] This disclosure provides design, material, manufacturing method, and use alternatives for medical devices. An example of the disclosure is a system for implanting an implantable medical system. The system includes a delivery catheter including an outer shaft and an inner shaft translatable relative to the outer shaft, with the implantable medical device operably coupled to the inner shaft. A drive motor is operably coupled to the inner shaft such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft. The system includes a control mechanism that is configured to control operation of the drive motor and that includes a controller and a position sensor that is disposed relative to the delivery catheter. The position sensor is operably coupled to the controller such that the position sensor is able to provide the controller with an indication of the position of the implantable medical device relative to the outer shaft. The drive motor is configured to provide the controller with an indication of a rotational position or an accumulated rotational movement of an output shaft of the drive motor. The controller is configured to output a control signal instructing operation of the drive motor based upon the indicated rotational position or the accumulated rotational movement of the output shaft of the drive motor and the indicated position of the implantable medical device relative to the outer shaft.

[0005] Alternatively or additionally to any of the embodiments above, the drive motor may include a stepper motor, and the stepper motor may be configured to provide the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

[0006] Alternatively or additionally to any of the embodiments above, the drive system may further include a motor position sensor, and the motor position sensor may be configured to provide the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

[0007] Alternatively or additionally to any of the embodiments above, the drive motor may provide the controller with an indication of a power draw when operating the drive motor in order to cause the inner shaft to translate relative to the outer shaft.

[0008] Alternatively or additionally to any of the embodiments above, the controller may be configured to determine an amount of torque being applied to the inner shaft, via the indicated power draw, and the controller may be configured to analyze the applied torque to ascertain whether the inner shaft is moving freely or is jammed.

[0009] Alternatively or additionally to any of the embodiments above, the controller may be configured to analyze the applied torque to ascertain whether the implantable medical device is contacting tissue.

[0010] Alternatively or additionally to any of the embodiments above, the system may further include a strain gauge that is operably coupled to the inner shaft and/or the outer shaft, and is configured to output to the controller a signal indicating relative strain.

[0011] Alternatively or additionally to any of the embodiments above, the system may further include a user interface operably coupled to the controller such that the controller can output signals to the user via the user interface. [0012] Alternatively or additionally to any of the embodiments above, the controller may be configured to determine when the implantable medical device has reached a deployment position, based upon the indication of the position of the implantable medical device relative to the outer shaft and/or the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

[0013] Alternatively or additionally to any of the embodiments above, the controller may be configured to recognize compression and/or elongation of the inner shaft by comparing a position of the implantable medical device indicated by the position sensor and an expected position of the implantable medical device indicated by the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

[0014] Alternatively or additionally to any of the embodiments above, the implantable medical device may include an implantable heart valve.

[0015] Another example of the disclosure is a drive assembly for use with a delivery catheter for delivering an implantable medical device, where the delivery catheter includes an inner shaft slidingly disposed within an outer shaft, with the implantable medical device releasably coupled to the inner shaft. The drive assembly includes a drive motor that is configured to be operably coupled to the inner shaft such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft. A controller is configured to receive a position signal from a position sensor disposed relative to the delivery catheter, the position signal indicating a position of the implantable medical device relative to the outer shaft. The controller is configured to receive a motor signal indicating a rotational position or an accumulated rotational movement of an output shaft of the drive motor and is configured to output a control signal instructing operation of the drive motor based upon the indicated rotational position or the accumulated rotational movement of the output shaft of the drive motor and the indicated position of the implantable medical device relative to the outer shaft.

[0016] Alternatively or additionally to any of the embodiments above, the controller may be configured to receive from the drive motor an indication of a power draw when the drive motor engages the inner shaft, and the controller is configured to determine an amount of torque being applied to the inner shaft, via the indicated power draw, and the controller may be further configured to analyze the applied torque to ascertain whether the inner shaft is moving freely or is jammed. [0017] Alternatively or additionally to any of the embodiments above, the controller may be configured to analyze the applied torque to ascertain whether the implantable medical device is contacting tissue.

[0018] Alternatively or additionally to any of the embodiments above, the controller may be configured to receive a signal indicating relative strain from a strain gauge that is operably coupled to the inner shaft and/or the outer shaft of the delivery catheter.

[0019] Alternatively or additionally to any of the embodiments above, the drive assembly may further include a user interface that is operably coupled to the controller such that the controller can output signals to the user via the user interface.

[0020] Alternatively or additionally to any of the embodiments above, the controller may be configured to determine when the implantable medical device has reached a deployment position, based upon the indication of the position of the implantable medical device relative to the outer shaft and/or the indication of the rotational position of the drive motor.

[0021] Another example of the disclosure is a delivery device for an implantable medical device. The delivery device includes an outer shaft and an inner shaft that is moveably disposed within the outer shaft, with the implantable medical device releasably secured to the inner shaft. A drive mechanism is operably coupled with the inner shaft and includes a drive motor rotatably coupled to the inner shaft, a controller and a position sensor that is operably coupled to the controller. The position sensor is able to provide the controller with an indication of the position of the implantable medical device relative to the outer shaft. A motor position sensor is operably coupled to the controller such that the motor position sensor is able to provide the controller with an indication of a rotational position or an accumulated rotational movement of an output shaft of the drive motor. The controller is configured to control operation of the drive motor in accordance with the information received from the position sensor and the motor position sensor.

[0022] Alternatively or additionally to any of the embodiments above, the delivery device may further include a user interface that is operably coupled to the controller.

[0023] Alternatively or additionally to any of the embodiments above, the controller may be configured to implement a hard stop, requiring user intervention for further movement, when the information received form the position sensor and the motor position sensor agree that the implantable medical device is ready to be deployed. [0024] The above summary of some embodiments is not intended to describe each disclosed embodiment or every implementation of the present disclosure. The Figures, and Detailed Description, which follow, more particularly exemplify these embodiments.

Brief Description of the Drawings

[0025] The disclosure may be more completely understood in consideration of the following detailed description in connection with the accompanying drawings, in which:

[0026] FIG. 1 is a side view of an example medical device system;

[0027] FIG. 2 is a partial cross-sectional view of a portion of an example shaft;

[0028] FIG. 3 is a side view of an example medical device system;

[0029] FIG. 4 is a side view of an example medical device system;

[0030] FIG. 5 is a side view of an example medical device system;

[0031] FIG. 6 is a side view of an example medical device system;

[0032] FIG. 7 is a side view of an example medical device system; and

[0033] FIG. 8 is a schematic block diagram of an example control system.

[0034] While the disclosure is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit the disclosure to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure.

Detailed Description

[0035] For the following defined terms, these definitions shall be applied, unless a different definition is given in the claims or elsewhere in this specification.

[0036] All numeric values are herein assumed to be modified by the term“about”, whether or not explicitly indicated. The term“about” generally refers to a range of numbers that one of skill in the art would consider equivalent to the recited value (e.g., having the same function or result). In many instances, the terms“about” may include numbers that are rounded to the nearest significant figure.

[0037] The recitation of numerical ranges by endpoints includes all numbers within that range (e.g. 1 to 5 includes 1, 1.5, 2, 2.75, 3, 3.80, 4, and 5). [0038] As used in this specification and the appended claims, the singular forms“a”,“an”, and“the” include plural referents unless the content clearly dictates otherwise. As used in this specification and the appended claims, the term“or” is generally employed in its sense including“and/or” unless the content clearly dictates otherwise.

[0039] It is noted that references in the specification to “an embodiment”, “some embodiments”,“other embodiments”, etc., indicate that the embodiment described may include one or more particular features, structures, and/or characteristics. However, such recitations do not necessarily mean that all embodiments include the particular features, structures, and/or characteristics. Additionally, when particular features, structures, and/or characteristics are described in connection with one embodiment, it should be understood that such features, structures, and/or characteristics may also be used connection with other embodiments whether or not explicitly described unless clearly stated to the contrary.

[0040] The following detailed description should be read with reference to the drawings in which similar elements in different drawings are numbered the same. The drawings, which are not necessarily to scale, depict illustrative embodiments and are not intended to limit the scope of the invention.

[0041] Diseases and/or medical conditions that impact the cardiovascular system are prevalent throughout the world. Traditionally, treatment of the cardiovascular system was often conducted by directly accessing the impacted part of the system. For example, treatment of a blockage in one or more of the coronary arteries was traditionally treated using coronary artery bypass surgery. As can be readily appreciated, such therapies are rather invasive to the patient and require significant recovery times and/or treatments. More recently, less invasive therapies have been developed, for example, where a blocked coronary artery could be accessed and treated via a percutaneous catheter (e.g., angioplasty). Such therapies have gained wide acceptance among patients and clinicians.

[0042] Some relatively common medical conditions may include or be the result of inefficiency, ineffectiveness, or complete failure of one or more of the valves within the heart. For example, failure of the aortic valve or the mitral valve can have a serious effect on a human and could lead to serious health condition and/or death if not dealt with properly. Treatment of defective heart valves poses other challenges in that the treatment often requires the repair or outright replacement of the defective valve. Such therapies may be highly invasive to the patient. Disclosed herein are medical devices that may be used for delivering a medical device to a portion of the cardiovascular system in order to diagnose, treat, and/or repair the system. At least some of the medical devices disclosed herein may be used to deliver and implant a replacement heart valve (e.g., a replacement aortic valve, replacement mitral valve, etc.). In addition, the devices disclosed herein may deliver the replacement heart valve percutaneously and, thus, may be much less invasive to the patient. The devices disclosed herein may also provide a number of additional desirable features and benefits as described in more detail below.

[0043] The figures illustrate selected components and/or arrangements of a medical device system 10, shown schematically in FIG. 1 for example. It should be noted that in any given figure, some features of the medical device system 10 may not be shown, or may be shown schematically, for simplicity. Additional details regarding some of the components of the medical device system 10 may be illustrated in other figures in greater detail. A medical device system 10 may be used to deliver and/or deploy a variety of medical devices to a number of locations within the anatomy. In at least some embodiments, the medical device system 10 may include a replacement heart valve delivery system (e.g., a replacement aortic valve delivery system) that can be used for percutaneous delivery of a medical implant 16, such as a replacement/prosthetic heart valve. This, however, is not intended to be limiting as the medical device system 10 may also be used for other interventions including valve repair, valvuloplasty, delivery of an implantable medical device (e.g., such as a stent, graft, etc.), and the like, or other similar interventions.

[0044] The medical device system 10 may generally be described as a catheter system that includes an outer sheath 12, an inner catheter 14 (a portion of which is shown in FIG. 1 in phantom line) extending at least partially through a lumen of the outer sheath 12, and a medical implant 16 (e.g. , a replacement heart valve implant) which may be coupled to the inner catheter 14 and disposed within a lumen of the outer sheath 12 during delivery of the medical implant 16. In some embodiments, a medical device handle 18 may be disposed at a proximal end of the outer sheath 12 and/or the inner catheter 14 and may include one or more actuation mechanisms associated therewith. In other words, a tubular member (e.g., the outer sheath 12, the inner catheter 14, etc.) may extend distally from the medical device handle 18. In general, the medical device handle 18 may be designed to manipulate the position of the outer sheath 12 relative to the inner catheter 14 and/or aid in the deployment of the medical implant 16.

[0045] In use, the medical device system 10 may be advanced percutaneously through the vasculature to a position adjacent to an area of interest and/or a treatment location. For example, in some embodiments, the medical device system 10 may be advanced through the vasculature to a position adjacent to a defective native valve (e.g., aortic valve, mitral valve, etc.)· Alternative approaches to treat a defective aortic valve and/or other heart valve(s) are also contemplated with the medical device system 10. During delivery, the medical implant 16 may be generally disposed in an elongated and low profile“delivery” configuration within the lumen and/or a distal end of the outer sheath 12, as seen schematically in FIG. 1 for example. Once positioned, the outer sheath 12 may be retracted relative to the medical implant 16 and/or the inner catheter 14 to expose the medical implant 16. In some instances, the medical implant 16 may be self-expanding such that exposure of the medical implant 16 may deploy the medical implant 16. Alternatively, the medical implant 16 may be expanded/deployed using the medical device handle 18 in order to translate the medical implant 16 into a generally shortened and larger profile “deployed” configuration suitable for implantation within the anatomy. For example, in some instances the inner catheter (or components thereof) may be coupled to medical implant 16 whereby actuation of the inner catheter 14 relative to the outer sheath 12 and/ or the medical implant 16 may deploy the medical device 16 within the anatomy. When the medical implant 16 is suitably deployed within the anatomy, the medical device system 10 may be disconnected, detached, and/or released from the medical implant 16 and the medical device system 10 can be removed from the vasculature, leaving the medical implant 16 in place in a“released” configuration.

[0046] It can be appreciated that during delivery and/or deployment of an implantable medical device (e.g., the medical implant 16), portions of the medical device system 10 may be required to be advanced through tortuous and/or narrow body lumens. Therefore, it may be desirable to utilize components and design medical delivery systems (e.g., such as the medical device system 10 and/or other medical devices) that reduce the profile of portions of the medical device while maintaining sufficient strength (compressive, torsional, etc.) and flexibility of the system as a whole.

[0047] FIG. 2 illustrates a portion of an example shaft 20 that may have increased resistance to compressive forces (e.g., a“compression-resistant” shaft) and/or may have increased resistance to tension forces (e.g., a“tension-resistant” shaft). In some instances, the shaft 20 may be used as the inner catheter 14 in the medical device system 10 illustrated in FIG. 1. However, the shaft 20 may be other components of the medical device system 10, a component of a different medical device system (e.g., a stent delivery system, an angioplasty system, a biopsy system, etc.), any other medical device where compression and/or tension resistance may be desired, or the like.

[0048] The shaft 20 may include an inner member or liner 22. The inner liner 22 may include a number of features as discussed herein. An outer member or exoskeleton 24 may be disposed along the inner liner 22. The exoskeleton 24 may include a plurality of discrete members or articulating links. For example, the exoskeleton 24 may include a plurality of bead members 26 and a plurality of barrel members 28. Other discrete members are contemplated that may have differing shapes and/or configurations. In general, the discrete members (e.g., the bead members 26 and the barrel members 28) are engaged with one another and are designed to increase the compression resistance, the tension resistance, or both of the shaft 20 while also affording a desirable amount of flexibility and kink resistance such that the shaft 20 can be navigated through the anatomy.

[0049] As indicated above, the inner liner 22 may include a number of features. For example, the inner liners 22 may include one or more tension resistance members 30a/30b. The tension resistance members 30a/30b may take the form of a wire (e.g., a metallic wire), a braid, cable, stranded cable, a composite structure, or the like. In one example, the tension resistance members 30a/30b are both metallic wires. In another instance, the tension resistance members 30a/30b are both metallic braids. The braids may further include an axial wire made from a suitable polymer or metal (e.g., aramid). The tension resistance members 30a/30b may be made from the same materials and/or have the same configuration. Alternatively, the tension resistance members 30a/30b may be different from one another. Furthermore, while FIG. 2 illustrates that the inner liner 22 includes two tension resistance members 30a/30b, this is not intended to be limiting. Other numbers of tension resistance members 30a/30b are contemplated such as one, three, four, five, six, seven, or more.

[0050] The inner liner 22 may also include a lumen 32. In some instances, a first tubular member 34 may be disposed within the lumen 32. The first tubular member may define a guidewire lumen 35, through which a guidewire 36 may extend. A second tubular member 38 may also be disposed within the lumen 32. The second tubular member 38 may define a lumen 39 through which an actuation mechanism 40 may extend. These are just examples. The inner liner 22 may vary in form. For example, the inner liner 22 may include a single lumen, multiple lumens, or lack a lumen. Additional details regarding the exoskeleton 24 may be found, for example, in U.S. Provisional Patent Application Serial No. 62/425,419 and entitled “MEDICAL DEVICE SHAFT RESISTANT TO COMPRESSION AND/OR TENSION”, filed on November 22, 2016, which application is incorporated by reference herein in its entirety.

[0051] FIG. 3 is a side view of an example medical device system 50 that may be considered as being an example of the medical device system 10 illustrated in FIG. 1. The medical device system 50 includes an outer sheath 52 that may be considered as an example of the outer sheath 12 as well as an inner catheter 54 that may be considered as an example of the inner catheter 14. In some cases, the inner catheter 54 may include one or more lumens extending through the inner catheter 54, similar to the lumen 32 extending through the inner liner 22. In some cases, a guidewire may extend through this lumen. In some instances, as illustrated, an actuation mechanism 56 may extend through the inner catheter 54. The actuation mechanism 56 may, for example, include a force translation rod 58 that extends from a proximal end of the inner catheter 54 to a coupler 60. The actuation mechanism 56 may include several push pull rods 62 that extend distally from the coupler 60. In some cases, the actuation mechanism 56 may include three push pull rods 62, but in other cases there may be more than three push pull rods 62.

[0052] As will be appreciated, the implantable medical device 16, which is shown coupled to the push pull rods 62, can be translated relative to the outer sheath 52 by pushing or pulling on the actuation mechanism 56. In some cases, as seen for example in FIG. 4, the actuation mechanism 56 may be electronically controlled. FIG. 4 shows an example medical device system 70 in which a proximal end 72 of the force translation rod 58 is actuated by a drive motor 74 having an output shaft 76, where a gear assembly 80 engages the force translation rod 58 in such a way as to enable rotation of the output shaft 76 to cause the force translation rod 58 to translate distally and proximally. It will be appreciated that rotating the output shaft 76 in one direction will cause the force translation rod 58 to translate distally while rotating the output shaft 76 in the opposite direction will cause the force translation rod 58 to translate proximally.

[0053] Several control features are also shown in FIG. 4. The medical device system 70 generally includes a position sensor 82. The position sensor 82 may take a variety of different forms, although as shown the position sensor 82 may include a coil 84 that is wrapped around the outer sheath 12 in order to detect proximity of an indicator 86 that is secured relative to the inner catheter 54. In some cases, the indicator 86 may be secured relative to the coupler 60, as the coupler 60 indicates where the force translation rod 58 is coupled to the push pull rods 62. In some cases, the position sensor 82 may be inductive. For example, the coil 84 may detect the approach of a high permeability material. In some cases, the position sensor 82 may include a switch that closes in proximity to the indicator 86. In some instances, the position sensor 82 may be magnetic. Any of a variety of sensors may be used as the position sensor 82. Further examples of sensors that may be used as the position sensor 82 may be found in co-pending provisional applications filed on even-date herewith, with Attorney Docket 2001.1910100 entitled“CONDUCTANCE MODE DEPLOYMENT SENSORS FOR TRANSCATHETER VALVE SYSTEM” and Attorney Docket 2001.1911100 entitled“INDUCTANCE MODE DEPLOYMENT SENSORS FOR TRANSCATHETER VALVE SYSTEM”, both of which are incorporated by reference herein in their entirety.

[0054] The medical device system 70 includes a position sensor measurement circuit 88 that is operably coupled to the position sensor 82 via a pair of electrical conductors 89. In some cases, the position sensor measurement circuit 88 receives an electrical signal representative of where the indicator 86 is relative to the coil 84, and reports this to a motor control circuit 90. If the indicator 86 has not yet reached the coil 84, the motor control circuit 90 may determine that it is appropriate to drive the actuation mechanism 56 further in a distal direction. The motor control circuit 90 may provide a signal to the drive motor 74 to do so. It will be appreciated that this forms a closed loop control system in which position as indicated by the position sensor 82 impacts operation of the drive motor 74, which in turn impacts relative position.

[0055] FIG. 5 shows an example medical device system 100 that is similar to the medical device system 70 shown in FIG. 4, but adds a feature. In the medical device system 100, the drive motor 74 is able to provide feedback to the motor control circuit 90. In some cases, the electrical current draw of the drive motor 74 is proportional to the force required to move the actuation mechanism 56. If for example the inner catheter 54 is binding within the outer sheath 52, the force required to move the actuation mechanism 56 will increase. As a result, the electrical current draw of the drive motor 74 will also increase. Accordingly, if the electrical current draw of the drive motor 74 increases, this indicates to the motor control circuit 90 that there may be a problem. In some cases, an increase in torque as indicated by an increase in the electrical current draw to the drive motor 74 may be an indication that the medical implant 16 is contacting tissue, which may in turn be an indication that the medical implant 16 may be approaching or at an appropriate location for deployment. It will be appreciated that in some cases, a position signal from the position sensor 82 may be used in combination with a torque indication as provided by the electrical current draw of the drive motor 74 to determine whether the medical implant 16 is approaching or at an appropriate location for deployment, or if the actuation mechanism 56 is just binding in some manner, or if the medical implant 16 is moving normally.

[0056] In some cases, the medical device system 110 may also be able to look at torque versus position and be able to tell if the medical implant 16 is moving normally. For example, if the position indicates that the medical implant 16 is proximate an implantation site, but the indicated torque is lower than expected, this can be an indication that the medical implant 16 may be under-sized relative to the native valve annulus. Conversely, a higher than expected indicated torque could indicate that the medical implant 16 is too large, for example.

[0057] FIG. 6 shows an example medical device system 110 that is similar to the medical device system 100 shown in FIG. 5, but adds a motor position sensor 92. In some cases, the drive motor 74 may be a stepper motor that can output accurate position data, including rotational position and/or total number of rotations. In some instances, however, the motor position sensor 92 may be configured to provide such data to the motor control circuit 90. For example, the motor position sensor 92 may be a Hall effect sensor that can count revolutions of the drive motor 74, or even count fractions of a revolution, and can output this data to the motor control circuit 90. In response, the motor control circuit 90 may control operation of the drive motor 74 in a closed loop fashion, relying on position data from both the position sensor 82 and the motor position sensor 92.

[0058] FIG. 7 shows an example medical device system 120 that relies upon one or more strain gauges. As illustrated, the medical device system 120 includes an interior rod strain gauge 122 that is secured relative to the coupler 60 and an exterior strain gauge 124 that is secured relative to the outer sheath 52. In some cases, one or both of the interior rod strain gauge 122 and the exterior strain gauge 124 may be inductive elements with a variable resonance characteristic that is modulated by compression and elongate forces. In some cases, paired compressive/elongation measurements may be combined to discriminate between displacement and deployment forces that are applied to the medical implant 16. In some instances, the medical device system 120 may utilize one or more of position data (although the position sensor 82 is not illustrated in FIG. 7), motor torque and deployment force data in a closed loop control system for controlling operation of the drive motor 74.

[0059] FIG. 8 is a schematic block diagram of a control system 130 that may be used in controlling operation of the medical device systems 10, 50, 70, 100, 110, 120 discussed herein. In some cases, various features of the medical device systems 10, 50, 70, 100, 110, 120 may be combined as desired. In some cases, at least part of the control system 130 may be built into the handle 18 (FIG. 1). In some instances, at least part of the control system 130 may be distinct from the handle 18, and portions of the control system 130 distinct from the handle 18 may be electrically or optically coupled to portions of the control handle 130 that are built into the handle 18. The control system 130 includes a controller 132. In some cases, the controller 132 may be considered as including at least some of the functionality discussed with respect to the position sensor measurement circuit 88 and the motor control circuit 90. In some instances, the controller 132 may for example be built into the handle 18 while other components, such as one or more of the position sensor 82, the motor position sensor 92, the inner strain gauge 122 and the outer strain gauge 124 may be disposed remote from the handle, closer to a distal end of the device and are operably coupled with the controller 132.

[0060] In some cases, the controller 132 may be operably coupled to a torque sensor 136. In some instances, the controller 132 may be configured to monitor the electrical current draw of the drive motor 74, and thus can recognize when torque applied by the drive motor 74 increases. In some cases, the controller 132 may be configured to also look at positional data from the position sensor 82, in order to determine whether the device is merely binding, or if the medical implant 16 is at or near an appropriate deployment location. In some cases, the controller 132 may be configured to control operation of the drive motor 74. The controller 132 may be programmed or otherwise configured to accept inputs from the aforementioned sensors and to provide appropriate motor drive commands 138 to the drive motor 74.

[0061] The controller 132 may provide a closed loop control system that receives translational information from the position sensor 82 and/or receives torque information, whether from a torque sensor 136, or by analyzing the electrical current draw of the drive motor 74, and outputs motor control signals to the drive motor 74 accordingly. In some instances, the controller 132 may detect jam conditions and/or over-torque conditions using the feedback for both the position sensor 82 and relevant torque data. In some cases, the controller 132 may utilize motor count information, such as either directly from the drive motor 74 itself, if a stepper motor, or from a motor position sensor such as the motor position sensor 92. In some instances, the controller 132 may be configured to detect compression and/or stretch of the actuation mechanism 56 by comparing movement of the drive motor 74 near a proximal end of the device to movement detected by the position sensor 82 near a distal end of the device. [0062] In some cases, the controller 132 may be configured to receive or develop torque displacement signature records, and may be able to perform signal analysis on an early portion of the deployment process in order to identify the appropriate torque displacement characteristic curve. For example, the controller 132 may be configured to determine if tissue has been contacted by comparing a torque force characteristic for deploying the medical implant 16 in air with the torque force characteristic of deploying the medical implant 16 in an implant procedure. A difference in torque force data from a baseline value may be used by the controller 132 to detect tissue displacement.

[0063] The materials that can be used for the various components of the medical devices and/or systems disclosed herein (e.g., shaft 20 and/or other shafts disclosed herein) may include those commonly associated with medical devices. For simplicity purposes, the following discussion makes reference to the shaft 20. However, this is not intended to limit the devices and methods described herein, as the discussion may be applied to other shafts and/or components of the medical devices and/or systems disclosed herein including the various bead members, barrel members, etc.

[0064] The shaft 20 may be made from a metal, metal alloy, polymer (some examples of which are disclosed below), a metal-polymer composite, ceramics, combinations thereof, and the like, or other suitable material. Some examples of suitable polymers may include polytetrafluoroethylene (PTFE), ethylene tetrafluoroethylene (ETFE), fluorinated ethylene propylene (FEP), polyoxymethylene (POM, for example, DELRIN® available from DuPont), polyether block ester, polyurethane (for example, Polyurethane 85A), polypropylene (PP), polyvinylchloride (PVC), poly ether-ester (for example, ARNITEL® available from DSM Engineering Plastics), ether or ester based copolymers (for example, butylene/poly(alkylene ether) phthalate and/or other polyester elastomers such as HYTREL® available from DuPont), polyamide (for example, DURETHAN® available from Bayer or CRISTAMID® available from Elf Atochem), elastomeric polyamides, block polyamide/ethers, polyether block amide (PEBA, for example available under the trade name PEBAX®), ethylene vinyl acetate copolymers (EVA), silicones, polyethylene (PE), high density polyethylene (HDPE), polyester, Marlex high-density polyethylene, Marlex low-density polyethylene, linear low density polyethylene (for example REXELL®), ultra-high molecular weight (UHMW) polyethylene, polypropylene, polybutylene terephthalate (PBT), polyethylene terephthalate (PET), polytrimethylene terephthalate, polyethylene naphthalate (PEN), polyetheretherketone (PEEK), polyimide (PI), polyetherimide (PEI), polyphenylene sulfide (PPS), polyphenylene oxide (PPO), poly paraphenylene terephthalamide (for example, KEVLAR®), polysulfone, nylon, nylon-l2 (such as GRILAMID® available from EMS American Grilon), perfluoro(propyl vinyl ether) (PFA), ethylene vinyl alcohol, polyolefin, polystyrene, epoxy, polyvinylidene chloride (PVdC), poly (sty rene-/ -isobutylene-/ -styrene) (for example, SIBS and/or SIBS 50A), polycarbonates, ionomers, biocompatible polymers, other suitable materials, or mixtures, combinations, copolymers thereof, polymer/metal composites, and the like. In some embodiments the sheath can be blended with a liquid crystal polymer (LCP).

[0065] Some examples of suitable metals and metal alloys include stainless steel, such as 304V, 304L, and 316LV stainless steel; mild steel; nickel-titanium alloy such as linear-elastic and/or super-elastic nitinol; other nickel alloys such as nickel-chromium-molybdenum alloys (e.g., UNS: N06625 such as INCONEL® 625, UNS: N06022 such as HASTELLOY® C-22®, UNS: N10276 such as HASTELLOY® C276®, other HASTELLOY® alloys, and the like), nickel-copper alloys (e.g., UNS: N04400 such as MONEL® 400, NICKELVAC® 400, NICORROS® 400, and the like), nickel-cobalt-chromium-molybdenum alloys (e.g., UNS: R30035 such as MP35-N® and the like), nickel-molybdenum alloys (e.g., UNS: N10665 such as HASTELLOY® ALLOY B2®), other nickel-chromium alloys, other nickel-molybdenum alloys, other nickel-cobalt alloys, other nickel-iron alloys, other nickel-copper alloys, other nickel-tungsten or tungsten alloys, and the like; cobalt-chromium alloys; cobalt-chromium- molybdenum alloys (e.g., UNS: R30003 such as ELGILOY®, PHYNOX®, and the like); platinum enriched stainless steel; titanium; combinations thereof; and the like; or any other suitable material.

[0066] In at least some embodiments, portions or all of the shaft may also be doped with, made of, or otherwise include a radiopaque material. Radiopaque materials are understood to be materials capable of producing a relatively bright image on a fluoroscopy screen or another imaging technique during a medical procedure. This relatively bright image aids the user of the shaft in determining its location. Some examples of radiopaque materials can include, but are not limited to, gold, platinum, palladium, tantalum, tungsten alloy, polymer material loaded with a radiopaque filler, and the like. Additionally, other radiopaque marker bands and/or coils may also be incorporated into the design of the shaft 20 to achieve the same result.

[0067] In some embodiments, a degree of Magnetic Resonance Imaging (MRI) compatibility is imparted into the shaft. For example, the shaft 20 may include a material that does not substantially distort the image and create substantial artifacts (e.g., gaps in the image). Certain ferromagnetic materials, for example, may not be suitable because they may create artifacts in an MRI image. The shaft 20 may also be made from a material that the MRI machine can image. Some materials that exhibit these characteristics include, for example, tungsten, cobalt-chromium-molybdenum alloys (e.g., UNS: R30003 such as ELGILOY®, PHYNOX®, and the like), nickel-cobalt-chromium-molybdenum alloys (e.g., UNS: R30035 such as MP35-N® and the like), nitinol, and the like, and others.

[0068] It should be understood that this disclosure is, in many respects, only illustrative. Changes may be made in details, particularly in matters of shape, size, and arrangement of steps without exceeding the scope of the disclosure. This may include, to the extent that it is appropriate, the use of any of the features of one example embodiment being used in other embodiments. The disclosure’s scope is, of course, defined in the language in which the appended claims are expressed.

Claims

What is claimed is:

1. A system for implanting an implantable medical device, the system comprising: a delivery catheter including an outer shaft and an inner shaft translatable relative to the outer shaft, the implantable medical device operably coupled to the inner shaft;

a drive motor operably coupled to the inner shaft such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft; and

a control mechanism configured to control operation of the drive motor, the control mechanism including:

a controller; and

a position sensor disposed relative to the delivery catheter and operably coupled to the controller such that the position sensor is able to provide the controller with an indication of the position of the implantable medical device relative to the outer shaft;

the drive motor configured to provide the controller with an indication of a rotational position or an accumulated rotational movement of an output shaft of the drive motor; and

the controller configured to output a control signal instructing operation of the drive motor based upon the indicated rotational position or the accumulated rotational movement of the output shaft of the drive motor and the indicated position of the implantable medical device relative to the outer shaft.

2. The system of claim 1, wherein the drive motor comprises a stepper motor, and the stepper motor is configured to provide the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

3. The system of claim 1, further comprising a motor position sensor, and the motor position sensor is configured to provide the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

4. The system of any one of claims 1 to 3, wherein the drive motor provides the controller with an indication of a power draw when operating the drive motor in order to cause the inner shaft to translate relative to the outer shaft and the controller is configured to determine an amount of torque being applied to the inner shaft, via the indicated power draw, and the controller is further configured to analyze the applied torque to ascertain whether the inner shaft is moving freely or is jammed.

5. The system of claim 4, wherein the controller is configured to analyze the applied torque to ascertain whether the implantable medical device is contacting tissue.

6. The system of any one of claims 1 to 5, further comprising a strain gauge operably coupled to the inner shaft and/or the outer shaft, and configured to output to the controller a signal indicating relative strain.

7. The system of any one of claims 1 to 6, further comprising a user interface operably coupled to the controller such that the controller can output signals to the user via the user interface.

8. The system of any one of claims 1 to 7, wherein the controller is configured to determine when the implantable medical device has reached a deployment position, based upon the indication of the position of the implantable medical device relative to the outer shaft and/or the indication of the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

9. The system of any one of claims 1 to 8, wherein the controller is configured to recognize compression and/or elongation of the inner shaft by comparing a position of the implantable medical device indicated by the position sensor and an expected position of the implantable medical device indicated by the rotational position or the accumulated rotational movement of the output shaft of the drive motor.

10. A drive assembly for use with a delivery catheter for delivering an implantable medical device, the delivery catheter including an inner shaft slidingly disposed within an outer shaft, the implantable medical device releasably coupled to the inner shaft, the drive assembly comprising:

a drive motor configured to be operably coupled to the inner shaft such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft; and

a controller; the controller configured to receive a position signal from a position sensor disposed relative to the delivery catheter, the position signal indicating a position of the implantable medical device relative to the outer shaft;

the controller configured to receive a motor signal indicating a rotational position or an accumulated rotational movement of an output shaft of the drive motor; and

11. The drive assembly of claim 10, wherein the controller is configured to receive a signal indicating relative strain from a strain gauge that is operably coupled to the inner shaft and/or the outer shaft of the delivery catheter.

12. The drive assembly of any one of claims 10 or 11, wherein the controller is configured to determine when the implantable medical device has reached a deployment position, based upon the indication of the position of the implantable medical device relative to the outer shaft and/or the indication of the rotational position of the output shaft of the drive motor.

13. A delivery device for an implantable medical device, the delivery device comprising:

an outer shaft;

an inner shaft moveably disposed within the outer shaft, the implantable medical device releasably secured to the inner shaft;

a drive mechanism operably coupled with the inner shaft, the drive mechanism including:

a drive motor rotatably coupled to the inner shaft;

a controller;

a position sensor operably coupled to the controller such that the position sensor is able to provide the controller with an indication of the position of the implantable medical device relative to the outer shaft; a motor position sensor operably coupled to the controller such that the motor position sensor is able to provide the controller with an indication of a rotational position or an accumulated rotational movement of an output shaft of the drive motor; and

the controller configured to control operation of the drive motor in accordance with the information received from the position sensor and the motor position sensor.

14. The delivery device of claim 13, further comprising a user interface operably coupled to the controller.

15. The delivery device of any one of claims 13 or 14, wherein the controller is configured to implement a hard stop, requiring user intervention for further movement, when the information received from the position sensor and the motor position sensor agree that the implantable medical device is ready to be deployed.